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General NPI Number Information
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NPI Number | 1194949321
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Entity Type | Individual
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Provider Name | SHERI YAMANISHI O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19998 HOMESTEAD RD SUITE E
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City | CUPERTINO
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State | CA
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Zip | 95014-0569
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Country | US
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Telephone | 408-257-5262
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Fax | 408-257-8271
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Provider Business Mailing Address
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Address Line | 10806 LINDA VISTA DR
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City | CUPERTINO
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State | CA
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Zip | 95014-4749
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10450T
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License Number State | CA
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